LPN - Clinic I (Meds) - Outpatient Care Specialist

2 weeks ago

Wailuku, United States Kaiser Permanente Full time
Job Summary:

Under the direction of a Registered Nurse and medical orders from a Practitioner, provides direct and indirect nursing care in an outpatient setting. The LPN - Clinic I (Meds) is responsible for orienting and serving as a resource to LPN Clinic/Meds I as needed.

Essential Responsibilities:
  • Reviews and prepares medical records for assigned patients; initiates follow-up for medical record as requested.
  • Reviews patients' needs; identifies and prepares orders for needs of patient for authorization by practitioner and may accept verbal orders per policy.
  • Observes, collects, and documents new information on patient; informs RN or practitioners regarding incomplete data, new observation, or abnormal/unusual findings.
  • Administers treatments, immunizations, and medications as prescribed by practitioner; prepares medications for practitioner to use.
  • Performs point of care testing as authorized; provides laboratory, x-ray, and other reports to practitioner for review.
  • Notifies patients of normal results as directed by practitioner; considers special needs of different age groups when providing care.
  • Sets priorities of care based on acuity of implementation of orders/interventions; records findings, instructions, and patient responses on appropriate forms or on-line records using department and/or JCAHO standards.
  • Observes patients/family's responses to plan of care; reports unexpected responses to RN or practitioners; collaborates with RN/Practitioner to revise care plan when needed.
  • Demonstrates and applies competency in basic nursing skills and use of equipment; maintains current knowledge and skills needed to perform position.
  • Attends and participates in staff meetings as needed; participates in projects as requested.
  • Coordinates projects as requested; performs efficiently in emergency patient care/clinic situation; follows established procedures.
  • Informs appropriate practitioner/RN; assigns basic nursing tasks to unlicensed personnel as appropriate and according to department/unit standards.
  • Provides clear directions; acts as resource person to unlicensed staff; follows-up on assigned care to ensure it is given per standards, policies, procedures, protocols, and guidelines.
  • Follows discharge plan developed by Practitioner or RN; processes and/or follows-up with referrals as directed by practitioners.
  • Provides instruction and pre-printed information to patients as directed by RN and/or Practitioners; observes and documents patient/family response to instructions and reports any concerns.
  • Manages all patient vaccine data, including updating Hawaii Immunization Registry System (HIR), Electronic Health Records (EHR), and all patient and/or external records at each patient visit.
  • Readies any available immunization information prior to the time of visit with the provider; stores and administers immunizations according to Health plan and VFC guidelines.
  • Identifies patient immunization requirements in accordance with age-specific guidelines per CDC; fills out appropriate immunization paperwork for recording purposes.
  • Facilitates vaccine Health Plan and VFC inventory control at assigned clinic; orders vaccine and maintains appropriate vaccine inventories.
  • Utilizes file maintenance to ensure newly arrived vaccines are entered in the EHR lot manager system as needed.
  • Assures immunization clinics comply per health plan, federal, and state guidelines - i.e., compliance with Health department site visits.
  • Completes annual VFC enrollment training requirements and forms; maintains all records related to the VFC program per program guidelines.
  • Trains new and existing LPNs on emergency vaccine storage procedures; serves as a liaison with the state to coordinate VFC (vaccines for children) inventory.
  • Generates reports on patients and contacts them for immunization compliance and updates as needed.
  • Assists in ensuring compliance with infection control policies and protocols and follows medication administration, storage procedures, Health plan CDC, State, and federal VFC program guidelines.
  • Provides educational materials to patients and reviews printed instructions with patients; collaborates with RN/Practitioner to revise teaching plan when needed.
  • Participates in orientation of new personnel; orients and serves as a resource to LPNs and unlicensed personnel as needed.
  • Demonstrates sufficient knowledge, skills, and abilities in area of specialization; performs clean/sterile technique, sets up for procedures, assists with clinical procedure within department scope.
  • Follows the recommended process for handling point of use instruments as outlined by the High-Level Disinfection Committee.
  • Maintains, orders, organizes, rotates, and stocks supplies; schedules patients for routine care, acute care, and addressing care gaps.
  • Prepares and processes patient forms.
Basic Qualifications:
  • Twelve (12) months (2080 hours) LPN experience.
  • Hawaii State Board of Nursing approved curriculum for LPN licensure.
  • Licensed Practical Nurse (Hawaii) required at hire.
  • Basic Life Support from American Heart Association.
Additional Requirements:
  • Demonstrated knowledge of and skill in conflict resolution, customer service, interpersonal relations, oral communication, problem solving, teamwork, and written communication.
  • Reading, writing, speaking, and understanding English.
  • Training/giving and receiving instructions.
  • Mathematical ability, attention to detail (e.g., organization, prioritization, proofing), concentration, and alertness.
Preferred Qualifications:
  • Acute care nursing experience.
  • Demonstrated knowledge of and skill in word processing and spreadsheet PC applications.

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